HomeMy WebLinkAboutXR2024-0561 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application aw;
r Comm'I (— Residential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Ix Building r' Grading rDrainage r' Elec I— Mech Plum l�
r" Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) (— Flood r Fire r Liq r' Landslide rN/A Floor Suite No
1870 E. 16th St. r—
I' LS116
of Work
Use F Const Type
# StoriesF3 # Units (if Res)[—
New/Add SFRemodel SF 7777 Garage/New/Add F_ Valuation $ F150
Material/Labor
OWNER'S NAME Last Herber
First Paul
Owners Address
2115 Sherington PI. Owner's E-mail Address
Pherber@UDR.com
City Newport Beach State CA
Zip 92663 Telephone (949)246-6108
APPLICANT'S NAME Last Fwarren
First Tim
Applicant's Address
Applicant's E-mail Address
7221 Orangewood Ave.
Twarren @ WestRockRestoration. com
City Garden Grove State CA Zip 92841 Telephone (714)737-7082
ARCHITECT/DESIGNER'S NAME
Last First
Lic. No. �—
Architect/Designer's Address Architect/Designer's E-mail Address
city I State r— Zip r— Telephoner —
ENGINEER'S NAME Last
Firstr Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City I State F— Zip r— Telephone
CONTRACTOR'S NAME/COMPANY WestRock Restoration Lic. No. 986693 Classr—
Contractors Address Contractor's E-mail Address
172210 rangewood Ave. Twarren@WestRockRestoration.com
City Garden Grove State CA Zip 92841 Telephone (714)737-7082
SETBACKS REAR SETBACKS FRONT PERMIT NO. )\vZ6U4 _ vs�'
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE `d��
DEVELOPMENT NO PLAN CHECK FEES $